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So, you measure a higher B12, but part of that B12 is inactive, so useless Oral B12 supplementation, even in the form of a multivitamin preparation, may result in serum B12 concentrations just within the normal range without abolishing symptoms

Jehangir about your medical history and any medications you take to ensure the treatment is safe and appropriate

Some practitioners extend titration even further for particularly sensitive individuals

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What steps you can take to investigate the root cause